Active NPI
Susan Soeiro, MD
- Internal Medicine Physician
- White Plains, NY
National Provider Identifier
1740283514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 160373
- Practice address
- 15 N Broadway
FL 2
White Plains, NY 10601-2214 - Phone
- (914) 428-6000
- Fax
- (914) 593-7881
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 160373 | NY | Primary |
Addresses
Primary practice location
15 N Broadway
FL 2
White Plains, NY 10601-2214
Mailing address
PO Box 5801
New York, NY 10087-5801
Phone (914) 593-7880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110227797 | Other | NY | RAIL ROAD MEDICARE |
| 71D053K223 | Other | NY | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Consultants of Westchester | Past | Accepting new patients | |
| The Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- White Plains, NY
- NPI 1255304572
-
- Surgery Physician
- New York, NY
- NPI 1265598783
-
- Specialist
- New York, NY
- NPI 1801074315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1740283514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5801",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100875801",
"telephone_number": "914-593-7880",
"fax_number": "914-593-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N BROADWAY",
"address_2": "FL 2",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106012214",
"telephone_number": "914-428-6000",
"fax_number": "914-593-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOEIRO",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "160373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "110227797",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "71D053K223",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.